Get Munchkin Manor Child Information Record State Of Michigan Department Of Human Services Bureau Of

Completing the Munchkin Manor Child Information Record is an important step in ensuring the well-being of your child while in care. This guide will provide you with clear instructions on how to successfully fill out the form online, ensuring that all required details are accurately submitted.

Follow the steps to complete the form with ease.

1. Press the ‘Get Form’ button to obtain the form and open it in the appropriate editor.
2. Enter the date of admission and date of discharge for your child. This information is essential for accurate records.
3. Fill in the child's name, including last name, first name, and middle initial, as well as their date of birth.
4. Provide the child's complete home address, including number and street, building/apartment number, city, state, and zip code.
5. Input the names and home phone numbers of both the father/legal guardian and mother/legal guardian. If applicable, provide their addresses and cell phone numbers.
6. Include the date of birth and social security numbers for both parents or legal guardians.
7. List the email addresses and work phone numbers for both parents or legal guardians.
8. Identify the child's physician or health clinic, along with their contact numbers and preferred hospital for emergency treatment.
9. Detail any allergies, special needs, or special instructions, attaching additional sheets if necessary.
10. Provide a list of emergency contacts, ensuring at least one person is outside of the immediate family. Include names and phone numbers.
11. Specify individuals authorized to release the child, ensuring they can present a photo ID during pickup.
12. Sign and date the permission section allowing the staff to secure emergency medical treatment for your child.
13. Sign and date the permission for nature walks or playground visits.
14. Initial and date the acknowledgment of the card viewed section as required.
15. Review the completed form carefully. Once all necessary fields are filled, save your changes, and choose to download, print, or share the form.

Start filling out the Munchkin Manor Child Information Record online today!